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If accidentally left unrefrigerated for longer, the vial should be discarded to avoid reduced efficacy or safety concerns

The strongest data comes from Harshini Neelakantan, Stan Watowich, and colleagues at the University of Texas Medical Branch (UTMB)

Monthly injections in the maintenance phase are key for: Keeping B12 levels normal Stopping deficiency symptoms from coming back Helping with overall health and well-being By sticking to this plan, doctors can make B12 injection schedules that fit each patients needs

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